Individual provider · Type 1 NPI

Kahana Delore, LMSW/CAADC

Clinical Social Worker · Grand Rapids, MI

NPI number 1083059802 Active

Practice location

255 Colrain St SW Ste 2
Grand Rapids, MI 49548-1013

Call (616) 988-1479 Map

Fax (616) 988-1493

Mailing address

3308 Devonwood Hls NE Apt C
Grand Rapids, MI 49525-6805

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801089095 (MI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083059802

Kahana Delore, LMSW/CAADC's National Provider Identifier is 1083059802, issued on May 7, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on May 18, 2026.